What is Ethan Jackson's NPI number?

Ethan Jackson's National Provider Identifier (NPI) is 1124754494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Jackson's specialty?

Ethan Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Ethan Jackson located?

Ethan Jackson's practice location on file with NPPES is 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312.

What is Ethan Jackson's phone number?

The practice phone number listed in the NPPES registry for Ethan Jackson is (248) 436-4400.

Is Ethan Jackson's NPI active?

Yes — Ethan Jackson's NPI (1124754494) is active in the NPPES registry as of the last update on 2022-07-28.

IndividualActive

Ethan Jackson

NPI 1124754494 · Behavior Technician · Farmington Hills, MI

Ethan Jackson is a Behavior Technician provider in Farmington Hills, MI (NPI 1124754494).

Provider details

NPI number: 1124754494
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

27777 Inkster Rd Ste 100

Farmington Hills, MI 48334-5312

Phone: (248) 436-4400

Street-level locationGet directions

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Mailing address